KETTY M SPAIN FNP
NPI 1427225846
Nurse Practitioner - Family in South Hill, VA
NPI Status: Active since May 14, 2008
Contact Information
514 W ATLANTIC ST
SOUTH HILL, VA
ZIP 23970
Phone: (434) 584-2000
Fax: (434) 447-2240
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
- Medicare Quality Reporting
About KETTY SPAIN
This page provides the complete NPI Profile along with additional information for Ketty Spain, a provider established in South Hill, Virginia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1427225846 assigned on May 2008. The practitioner's primary taxonomy code is 363LF0000X with license number 0024167836 (VA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1427225846
- Provider Name
- KETTY M SPAIN FNP
- Other Name
- KETTY M VARGAS FNP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 514 W ATLANTIC ST SOUTH HILL, VA 23970
- Location Phone
- (434) 584-2000
- Location Fax
- (434) 447-2240
- Mailing Address
- 514 W ATLANTIC ST 82 MAPLEWOOD LANE SOUTH HILL, VA 23970
- Mailing Phone
- (434) 584-2000
- Mailing Fax
- (434) 447-2240
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-14-2008
- Last Update Date
- 01-13-2017
- Code Navigator
A nurse practitioner (NP) like Ketty Spain is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0024167836
- License State
- VA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 0024167836 (VA) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 5006092 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C03575 | MEDICARE OSCAR/CERTIFICATION (06) | VA | |
| 1427225846 | MEDICARE PIN (08) | VA | |
| 1427225846 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
Ketty Spain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 23970 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.88
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.72
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 98% | 4997 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 4% | 653 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Patient-Specific Education | 87% | 279 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 100% | 164 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 58% | 164 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 2 | 2 | 5 | 8 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 4 | 2 | 10 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 4 + 2 + 1 + 0 + 8 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1427225846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073589677 | DR. STEPHEN R BRYANT MD Individual | Pediatrics | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1982609475 | VONDA T STANLEY FNP Individual | Nurse Practitioner (Family) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1104824382 | ROBERT POWELL CNP Individual | Nurse Practitioner (Family) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1407894264 | SOUTH HILL FAMILY MEDICINE INC Organization | Family Medicine | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1861447732 | SOUTH HILL FAMILY MEDICINE INCORPORATED Organization | Clinic/Center (Rural Health) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1508282799 | SOUTHSIDE MEDICAL MANAGEMENT Organization | Family Medicine | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1932591799 | ROTESHA T COLBERT PNP Individual | Nurse Practitioner (Pediatrics) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1013912583 | LINDA P POWERS MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1639174113 | IRENE PARRISH CNP Individual | Nurse Practitioner (Family) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1215933494 | DAVID C POWERS MD Individual | Family Medicine | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1518965177 | GRAHAM H. POWERS III MD Individual | Family Medicine | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1457675720 | VIRGINIA SHORT FNP Individual | Nurse Practitioner (Adult Health) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1730487299 | FORTUNATA S CONDECIDO FNP-BC Individual | Nurse Practitioner (Family) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1881636280 | KATHRYN KILPATRICK MD Individual | Pediatrics | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 447-6969 |
| 1699074567 | MRS. LORI ANNE HAGAMAN FNP-BC Individual | Nurse Practitioner (Family) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1770909921 | SOUTHSIDE MEDICAL MANAGEMENT INC Organization | Family Medicine | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1083927040 | KRISTIN C HILL PNP Individual | Nurse Practitioner (Pediatrics) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1659978039 | JESSICA N JOHNSON CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
| 1235611088 | AMANDA DOTY FNP, BC Individual | Nurse Practitioner (Family) | 514 W ATLANTIC ST SOUTH HILL, VA 23970 (434) 584-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427225846, enumerated in the NPI registry as an "individual" on May 14, 2008
The provider is located at 514 W Atlantic St South Hill, Va 23970 and the phone number is (434) 584-2000
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.